Abstract
Background
Resident involvement in operations increases operative duration. This study investigated
resident impact on operative time for a single general surgeon in an outpatient surgical
setting.
Methods
A retrospective review was performed of index general surgical operations meeting
inclusion criteria. Operative duration, patient demographics, 30-day complication/readmission
rates, and degree of resident involvement were collected.
Results
625 cases were analyzed. Patient demographics were similar for all procedural comparison
groups. Operative time increased with resident involvement for each operation—umbilical
hernia repairs were associated with a 19% increase (22.3 ± 6.7 versus 26.5 ± 7.5 min,
p = 0.002), laparoscopic cholecystectomies demonstrated a 15% increase (25.8 ± 8.7
versus 29.7 ± 10.2 min, p = 0.001), and laparoscopic inguinal hernia repairs demonstrated
a 25% increase (32.1 ± 11.3 versus 40.2 ± 8.9 min, p < 0.001).
Conclusions
Each surgeon must decide if the increase in operative duration caused by resident
involvement is justified by the intangible benefits residents provide.
Keywords
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Article Info
Publication History
Published online: December 31, 2016
Accepted:
October 14,
2016
Received in revised form:
September 19,
2016
Received:
July 25,
2016
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
